Factors related to depression in patients with dialysis chronic kidney disease: a cross-sectional study

Introduction: Depression is a frequent yet underrecognized problem among patients with chronic kidney disease undergoing dialysis. The factors related to depression in dialysis patients appear to be varied.Objetives: To identify clinical and demographic factorsrelated to depression in patients receiving dialysis.Material and Method: A cross-sectional study was conducted with 50 patients from private hospital in Indonesia. Data collection includes demographic, health-related data, and depression. To identify the depression status, 20 items of Zung Self-Rating Depression Scale were utilized in this study. The data analysis includes univariate, bivariate and multivariate analysis. The dependent variable was analyzed using nonparametric analysis, and to determine the related factors of depression, regression analysis was used in this study.Results: The average depression score was 31.1 (10.52),indicating no clinical depression in most participants. Nodemographic variables were associated with depression.Prescribed anti-hypertension and angiotensin-convertingenzyme inhibitors were the predictors of depression inpatients undergoing dialysis.Conclusions: Patientes with chronic kidned disease anduntreated hypertension experienced higher depression. Theuse of antihypertensive medications, particularly angiotensinconverting enzyme inhibitors, was associated with lower depression scores in this sample of patients undergoing dialysis.